Organization
ADVANCE CARE PHARMACY PLLC
Active
Other names
Advance Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY DUNGAN PHARM.D. (PHARMACIST IN CHARGE)
(606) 676-0199
Entity
Organization
Contact information
Practice address
25 MEDPARK SQUARE DR STE 4, SOMERSET, KY 42503-1708
(606) 676-0199
(606) 451-7727
Mailing address
25 MEDPARK SQUARE DR STE 4, SOMERSET, KY 42503-1708
(606) 676-0199
(606) 451-7727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100753830
—
KY
Enumeration date
05/04/2021
Last updated
11/15/2024
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